Obesity Surgery

Tube Gastrectomy(Sleeve Gastrectomy)

This is a relatively new approach. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically (keyhole surgery) but is not reversible.It basically leaves a stomach tube instead of a stomach sack.

Sometimes it is offered to patients as part of a two stage Bypass operation particularly if they are super obese ( BMI>60) because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can then be offered laparoscopically when they are at a safer weight.

The residual stomach capacity is about 200mls so a generous entree should be possible.

The weight loss seems to be a little better and more rapid than the lap band (60-70% EWL) over two years but it is not adjustable.

It might also be a good option if patients have a problem with their lap band requiring revision, have already lost a lot of weight and don't want a full bypass.

Video Presentations

Tube Gastrectomy or Sleeve Gastrectomy in the NEWS Click on the image to launch video.

Tube Gastrectomy or Sleeve Gastrectomy Patient Click on the image to launch video.